Neighborhood Family Doctor

NPI 1093915316 - Family Medicine - 207Q00000X

NPI Details
NPI 1093915316
Enumeration Date 07/24/2007
Last Updated 03/27/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ITA ITA
Position ADMININSTRATIVE
Phone (561) 969-1777
Fax
Practice Location
4949 S CONGRESS AVE
STE B
LAKE WORTH FL, 33461-4731, US
Phone (561) 969-1777
Fax
Business Location
4949 S CONGRESS AVE
STE B
LAKE WORTH FL, 33461-4731, US
Phone (561) 969-1777
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME63826
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According to our database, Neighborhood Family Doctor NPI is 1093915316, taxonomy code is 207Q00000X and license number is ME63826, license state is located at Florida. Neighborhood Family Doctor physically located at 4949 S Congress Ave, Lake Worth FL, 33461-4731. NPI Number 1033115704 has the healthcare provider type.

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1093915316 NPI number is provided on an as is basis without warranty of any kind. 1093915316 is maintained by the National Plan & Provider Enumeration System. The contents of Neighborhood Family Doctor are for informational purposes only.